| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,650 |
25,877 |
$3.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,607 |
12,829 |
$58K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
520 |
469 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,232 |
2,957 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
140 |
75 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,864 |
1,182 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,398 |
876 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,506 |
5,813 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
20 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,089 |
640 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,411 |
2,234 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
173 |
$4K |
| 92552 |
|
3,003 |
1,945 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,887 |
1,751 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
933 |
852 |
$2K |
| 90715 |
|
168 |
134 |
$779.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
27 |
$479.20 |
| 90688 |
|
269 |
210 |
$412.90 |
| 99173 |
|
2,943 |
1,994 |
$407.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
92 |
$323.83 |
| 82948 |
|
687 |
656 |
$298.89 |
| 90686 |
|
941 |
730 |
$272.07 |
| 90656 |
|
45 |
45 |
$170.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$70.36 |
| 81003 |
|
92 |
83 |
$50.77 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$36.02 |
| 85018 |
|
109 |
100 |
$34.12 |
| 82962 |
|
404 |
314 |
$19.68 |
| 86580 |
|
85 |
57 |
$14.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
105 |
$10.77 |
| 81025 |
|
26 |
15 |
$5.58 |
| 81002 |
|
17 |
13 |
$4.52 |
| Z1036 |
|
50 |
29 |
$0.00 |
| 90670 |
|
239 |
146 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
51 |
32 |
$0.00 |
| 90633 |
|
116 |
73 |
$0.00 |
| Z1034 |
|
459 |
299 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
15 |
12 |
$0.00 |
| 90680 |
|
39 |
24 |
$0.00 |
| 99383 |
|
13 |
12 |
$0.00 |
| 90716 |
|
22 |
13 |
$0.00 |
| 90723 |
|
22 |
13 |
$0.00 |